Tag Archives: medicare

Differences & Similarities between Home Health Agencies and Nurse Registries – Part 3

Welcome to the third part of our series about the differences between home health agencies and nurse registries. In this installment, we’ll review the last criterion from our list:  one qualifying service by direct employee. Medicare requires that a home … Read Full Post

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What We’re Reading – CMS Creates New Tip Sheet to Help Specialists Meet Meaningful Use

Navigating through all the information and requirements to meet meaningful use, and to successfully complete the necessary attestation, can be confusing and – at times – complicated for many providers. This tip sheet gives a full introduction of the EHR … Read Full Post

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The Basics for Launching a Long-term Care-related Business

Not a week goes by without someone inquiring about how to open a long-term care related business.  Whether it’s because of the state of the economy, fears of downsizing or burgeoning entrepreneurial spirit, the demographics in Florida are certainly in … Read Full Post

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Minimize Claims Issues with One Simple Step

Most physician practices experience claims challenges, from denials and rejections to payment inaccuracies.  As frustrating (and costly) as those issues are, they are almost avoidable with one simple step:  verifying patient insurance eligibility. For patients covered by Medicare, it may … Read Full Post

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5010 Update: Extension of Enforcement Discretion Period for Updated HIPAA Transaction Standards through June 30, 2012

(March 15, 2012) The Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) is announcing that it will not initiate enforcement action for an additional three (3) months, through June 30, 2012, against any covered entity … Read Full Post

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‘Meaningful Use’ for Physician Practices: Is It Worth the Trouble?

The foundation of the Medicare & Medicaid EHR Incentive Program is to improve quality of care.  Facilitating documentation, enhancing provider communication and focusing on indicators that produce better outcomes necessitate an electronic solution for most providers.  To achieve this, CMS … Read Full Post

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CMS Provides Guidance on 5010 Discretionary Enforcement Period for Medicare Fee for Service

Medicare Fee-for-Service (FFS) issued an announcement on December 14th regarding its plan for the 90 Day Discretionary Enforcement Period for non-compliant HIPAA covered entities.  According to that announcement, CMS provided a 90 day discretionary period for compliance with planned January … Read Full Post

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The Revalidation of Provider Enrollment Information

The revalidation process is a requirement of the Affordable Care Act for all Medicare providers and suppliers to revalidate their enrollment information in the Medicare program under new enrollment screening criteria.  The revalidation process affects only those Medicare providers who … Read Full Post

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What We’re Reading – Investigation Finds Drug Abusers Exploiting Medicare Benefit

An investigation in 2008, by the Government of Accountability Office, found approximately 170,000 Medicare recipients with suspicious prescription-use patterns.  The study identified 14 frequently abused medications and found that patients were “doctor shopping” in order to obtain multiple prescriptions for … Read Full Post

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Part One: What type of care do I want to provide?

Home health agencies can provide skilled or non-skilled care.  Skilled care requires the skills of a licensed professional, such as a nurse or therapist.  Non-skilled care is custodial or personal in nature, encompassing assistance with Activities of Daily Living (ADLs) … Read Full Post

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